NPI | 1407036833 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT MATTHEW BEREMAN Owner/Dentist 919-850-2065 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7587) |
Enumeration Date | 2007-11-14 |
Last Update Date | 2007-11-14 |